The main content of the new round of medical reform, the five major contents of the new medical refo

3. Further increase the promotion efforts and enhance the initiative and creativity of deepening medical reform.

Legal basis: "Several Opinions of the Leading Group for Deepening the Reform of the Medical and Health System on Further Promoting and Deepening the Experience of Deepening the Reform of the Medical and Health System" Article 1 Since the launch of the new round of medical reform, especially since the 18th National Congress of the Communist Party of China, all relevant departments in all regions have conscientiously implemented the decision-making and deployment of the basic medical and health system, adhered to the core concept of providing the basic medical and health system as a public good to the whole people, adhered to the basic principles of ensuring the basics, strengthening the grassroots and building mechanisms, and adhered to the overall arrangement, highlighting the key points, The basic path of step-by-step progress, overcoming difficulties, solidly advancing all aspects of reform, and deepening medical reform have made significant progress and remarkable results. The main manifestations are:

The universal medical insurance system has been basically established, the basic medical insurance participation rate has been stable at more than 95%, covering more than 1.3 billion people, and the financial subsidy standard for medical insurance for urban and rural residents reached 420 yuan per capita in 2016. The comprehensive reform of public hospitals has continued to expand and deepen, and 1,977 counties (cities) across the country have comprehensively launched the comprehensive reform of county-level public hospitals, and the number of pilot cities for the comprehensive reform of public hospitals has expanded to 200, and a scientific management system and operation mechanism are being formed. The primary medical and health service system has been continuously improved, and the basic realization of the establishment of health centers in townships and townships and clinics in villages and villages has significantly improved their service capacity.

The equalization of basic public health services has been greatly improved, and 45 national basic public health service projects in 12 categories have been implemented, covering the entire life process of residents and benefiting hundreds of millions of people. The drug security system has been further improved, the national basic drug system has been implemented, the provincial online centralized procurement of drugs by public medical institutions has been implemented openly, and a market-led drug formation mechanism has been gradually established. The construction of a hierarchical diagnosis and treatment system has been accelerated, and more than half of the counties (cities) in the country have carried out pilot projects for the first diagnosis at the grassroots level, and the medical treatment rate in the county has reached more than 80%.

The proportion of personal health expenditure in total health expenditure has continued to decline, from less than 30% in 2008. Access to basic medical and health services has been significantly improved, with 80% of residents being able to reach medical institutions within 15 minutes. The health level of the people has improved significantly, the average life expectancy has reached the age of 2010, which is higher than that of 2010, and the people's health level is generally better than the average level of middle- and high-income countries, and the health performance has been achieved with less investment. Practice has proved that deepening the reform of the medical and health system is in the right direction, the path is clear, the measures are effective, and the results of the reform have widely benefited the people, and have played an important role in solving the problem of medical treatment, improving the health quality of the people, safeguarding social fairness and justice, and promoting economic and social development.

1. Accelerate the construction of the basic medical security system Within three years, the participation rate of basic medical insurance for urban workers and residents and the new rural cooperative medical insurance will be increased to more than 90 percent. In 2010, the subsidy standard for urban residents' medical insurance and NCMS was raised to 120 yuan per person per year, and the individual payment standard was appropriately raised, and the reimbursement ratio and payment limit were raised.

2. Initially establish a national essential drug system Establish a scientific and reasonable management mechanism for the selection and adjustment of the list of essential drugs and a first-class guarantee system. All essential drugs will be included in the reimbursement list of medical insurance drugs.

3. Improve the primary medical and health service system Focus on strengthening the construction of county-level hospitals (including traditional Chinese medicine hospitals), township health centers, village clinics in remote areas, and urban community health service centers in difficult areas. Four:

Promote the gradual equalization of basic public health services Formulate and implement a national basic public health service project, and gradually establish a unified national health record nationwide starting from 2009. Increase the number of public health services and raise the standard of funding. Give full play to the role of traditional Chinese medicine.

5. Promote the reform of public hospitals, reform the management system, operation and supervision mechanism of public hospitals, and improve the service level of public medical institutions. Promote the reform of the compensation mechanism of Gongyan Pants Hospital.

Accelerate the formation of a diversified medical pattern. According to preliminary estimates, in order to ensure the above five reforms, it is estimated that 850 billion yuan will be invested at all levels within three years.

Legal basis: Article 5 of the Three-Year Summary Report on Deepening the Reform of the Medical and Health System After three years of reform, a medical insurance system with Chinese characteristics has been initially formed, with basic medical insurance for employees, basic medical insurance for urban residents, and new rural cooperative medical care as the main body, urban and rural medical assistance system as the backstop, and commercial health insurance and other forms of medical insurance as supplements, providing institutional guarantee for urban and rural residents to "receive medical treatment when they are sick". By the end of 2011, more than 1.3 billion urban and rural residents had participated in the three basic medical insurances, an increase of 17.2 billion over the pre-reform period, with a coverage rate of more than 95.

The subsidy standard for urban residents' medical insurance and NCMS** was raised from 80 yuan per person per year in 2008 to 200 yuan in 2011 (240 yuan in 2012). The maximum payment limit for the medical insurance for employees in all co-ordinated areas, the medical insurance for urban residents and the new rural cooperative cooperative system** has been increased to more than 6 times the average annual wage of local employees, the annual disposable income of local residents and the per capita net income of farmers nationwide, and not less than 50,000 yuan. The coverage of medical insurance for urban residents and the New Rural Cooperative Medical System has been extended from inpatient to outpatient, and 98 of the co-ordination areas have established outpatient co-ordination.

Legal analysis: 1. Fully understand the importance, urgency and arduousness of deepening the reform of the medical and health system; 2. The guiding ideology, basic principles and overall goals of deepening the reform of the medical and health system; 3. Improve the four major medical and health systems, and establish a basic medical and health system covering urban and rural residents; Fourth, improve the system and mechanism to ensure the effective and standardized operation of the medical and health system; Fifth, focus on the five key reforms, and strive to achieve significant results in the near future; 6. Actively and steadily promote the reform of the medical and health system.

Legal basis: Regulations of the People's Republic of China on Information Disclosure

Article 7: All levels of people shall actively promote information disclosure efforts, gradually increasing the content of information disclosure.

Article 8: All levels of people's ** shall strengthen the standardization, standardization, and informatization management of ** information resources, strengthen the establishment of ** information disclosure platforms, promote the integration of ** information disclosure platforms and government service platforms, and increase the level of handling ** information disclosure.

Article 9: Citizens, legal persons, and other organizations have the right to supervise administrative organs' information disclosure efforts, and to submit criticisms and suggestions.

Legal analysis: 1. Improve the primary medical and health service system, further promote the construction of a close-knit county-level medical and health community, integrate and optimize the allocation of county-level medical and health resources, and improve the overall service efficiency of the county. Actively promote the application and popularization of new information and artificial intelligence technologies in grassroots health work.

2. Strengthen the construction of grassroots health talents, strengthen the construction of suitable health personnel at the grassroots level, innovate the mechanism for the use of talents, promote the integrated allocation and management of health talents at the county level, implement "county employment for township use" and "township employment for village use", effectively solve the problem of rural doctors' treatment and old-age security, and accelerate the transformation of rural doctors into practicing (assistant) physicians. 3. Improve the capacity of primary medical and health services, carry out the activities of "high-quality service at the grassroots level" and the construction of community hospitals, and continue to improve the service capacity of primary medical and health institutions. Strengthen the refined management of basic public health service projects, encourage the exploration and optimization of service projects in light of local conditions, innovate service forms, highlight the improvement of quality and efficiency, and enhance the public's sense of gain.

Strengthen the construction of county-level telemedicine centers, and promote the extension of telemedicine to rural areas.

Legal basis: Article 2 of the Constitution of the People's Republic of China All power in the People's Republic of China belongs to the people. The organs through which the people exercise state power are the National People's Congress and local people's congresses at all levels.

In accordance with the provisions of the law, the people manage state affairs, economic and cultural undertakings, and social affairs through various channels and forms. Article 3: The State organs of the People's Republic of China practice the principle of democratic centralism. The National People's Congress and local people's congresses at all levels are democratically elected, accountable to the people, and subject to their supervision.

The administrative, supervising, adjudicating, and procuratorial organs of the state are all created by the people's congress and are responsible to it and subject to its supervision. The division of functions and powers between local state organs and local state institutions follows the principle of giving full play to the initiative and enthusiasm of local governments under the unified leadership of the government.